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Pennsylvania rates for HCPCS 58960

Lapt Stg/Restg Ovarian Tubal/Prim Mal 2nd Look

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $5,254.00 / $10,398.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.07 / $925.22 / $1,176.46
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.64 / $1,035.29 / $1,035.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.17 / $1,231.74 / $1,981.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.93 / $1,573.74 / $1,573.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,836.96 / $2,836.96 / $2,836.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,526.00 / $11,083.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.22 / $939.53 / $3,694.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,186.40 / $2,525.69
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.27 / $1,254.08 / $2,002.16
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.63 / $975.63 / $1,096.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.79 / $981.47 / $1,096.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,563.00 / $8,261.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.86 / $1,174.28 / $1,943.92